Effect of metacarpophalangeal joint position on A1 pulley and flexor digitorum tendons in trigger digit

Wu, Tung-Tai; Wu, Po‐Ting; Lee, Su-Ya; Wu, Kuo-Chen; Shao, Chung-Jung; Chern, Tai-Chang; Su, Fong-Chin; Jou, I‐Ming

doi:10.1097/jcma.0000000000000165

Cited by 2 publications

(1 citation statement)

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“…9 Metaplasia of the fibro cartilage on the inner surface of the A1 pulley was found as a cause of triggering by Sampson. 10 At the construction site in the fibrous flexor sheath a fibrous nodule may be found as the bunching of the spiral fibers of the flexor tendons. 11 Most commonly trigger finger occurs in the long and ring fingers and rarely in the index finger.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Percutaneous A1 Pulley Release versus Steroid Injection in Terms of Mean Pain Score in Trigger Digits

Inam,

Muahmmad Ali Bashir,

Rehana Islam

et al. 2023

PAFMJ

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Objective: To compare percutaneous A1 pulley release and steroid injection in terms of mean pain score in trigger digit. Study Design: Comparative cross- sectional study. Place and Duration of Study: Orthopedic Department Combined Military Hospital, Rawalpindi Pakistan, from Mar to Aug 2018. Methodology: Patients with trigger finger diagnosed clinically in Out Patient Department meeting inclusion and exclusion criteria were included in the study. Patients were randomly allocated to Group A & B by lottery method. Group A had percutaneous release of A1 pulley using a surgical blade 11, after preparation of the skin and injection of 1ml 2% plain Lidocaine. Group B had injection with corticosteroid. Both procedures were carried out in Out Patient Department under strict aseptic measures. Visual analogue score at start and end of the study was recorded. Results: A total of 185 patients were included in this study, 122(66%) were males and females were 63(34%). The mean age of patient was 37.80±11.80 years with range from 15-60 years. Mean score of Group A was 39.16±12.22 years and the mean age Group B was 38.93±10.98 years. 56(30.3%) patient had mild visual analogue score, 96 (51.9%) had moderate visual analogue, 33(17.8%) had severe visual analogue. Conclusion: Percutaneous release was found better option for the treatment of the trigger digit with a high success rate. Surgery should be reserved only for cases refractory to steroid injection technique.

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Section: Discussionmentioning

confidence: 99%